Some people taking metoprolol report changes in sleep, including difficulty falling asleep, unusual dreams, or vivid dreams.
These effects can be frustrating because poor sleep may lead to daytime fatigue and difficulty concentrating.
If sleep problems begin after starting metoprolol or become noticeably worse after a dosage change, tell your doctor. Other medications, caffeine, stress, sleep apnea, and medical conditions can also contribute to insomnia.
8. Depression or Mood Changes
Changes in mood can sometimes occur while taking medications that affect the cardiovascular and nervous systems.
If an older adult becomes unusually withdrawn, loses interest in normal activities, experiences persistent sadness, or notices significant changes in mood after starting or changing medication, the symptoms deserve attention.
Depression should never simply be considered a normal part of aging.
9. Confusion or Difficulty Concentrating
Older adults can sometimes experience medication-related changes in alertness or concentration.
New confusion, unusual sleepiness, difficulty performing familiar tasks, or significant changes in mental clarity should be discussed with a healthcare professional.
These symptoms can also be caused by infections, dehydration, low blood pressure, blood sugar abnormalities, electrolyte disturbances, or other medications, so identifying the underlying cause is important.
10. Sexual Side Effects
Some people taking beta blockers report sexual side effects, including reduced sexual desire or erectile difficulties.
These problems can be embarrassing, which means people may continue experiencing them without telling their doctor.
However, sexual health is part of overall health. If these symptoms begin after starting metoprolol, discuss them with your healthcare professional rather than stopping the medication yourself.
11. Nausea or Digestive Problems
Some people experience nausea, stomach discomfort, diarrhea, or other digestive symptoms while taking metoprolol.
These effects may be temporary, particularly when treatment is first started. Persistent symptoms, however, should be discussed with a doctor or pharmacist.
Taking medication exactly as prescribed and following any instructions regarding food can help reduce certain medication-related problems.
12. Low Blood Pressure and Falls
Metoprolol can lower blood pressure, which is often one of the reasons it is prescribed.
But blood pressure that becomes too low can cause dizziness, weakness, blurred vision, or fainting. For an older adult, a fall can result in serious injuries such as fractures or head trauma.
If you repeatedly feel unstable after standing, talk with your healthcare professional about your blood pressure and medication regimen.
Why Seniors May Notice Side Effects More Strongly
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